1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- North Himes Avenue at West Waters Avenue
- Solicitation number
- IFB-26-00271
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the State of Florida for vendors bidding on the Hillsborough County intersection improvement project located at North Himes Avenue at West Waters Avenue. The form mandates that the undersigned vendor certify compliance with Florida Statute 287.087 by implementing a comprehensive drug-free workplace program. The vendor must publish a workplace statement prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; inform employees of drug abuse dangers and company policy; distribute the statement to all employees engaged in providing commodities or contractual services under the bid; require employees to notify the employer of any drug-related convictions within five days; and impose sanctions or require participation in drug abuse assistance or rehabilitation programs for violating employees. The vendor must also make a good faith effort to maintain a drug-free workplace through continued implementation of these requirements.
The certification must be signed by an authorized company representative and submitted as part of the bid response for the intersection improvements project estimated at $2,594,198.34. This drug-free workplace requirement applies to all vendors and their subcontractors working on the Hillsborough County Engineering and Operations Department project. The solicitation establishes a Small Business Enterprise (SBE) participation goal of 5% for subcontractors on this contract, and compliance with the drug-free workplace certification is a mandatory condition of contract eligibility in Florida.
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Text version
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that
________________________________________________________ does:
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business’ policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 1893 or of any controlled substance law of the United States or any state, for violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program, if such is available in the employee’s community, by any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
Offeror’s Signature
Date
DRUG-FREE WORKPLACE FORM
G:\Forms Library\0500-Forms\522_Drug Free Workplace Form.doc
File details come from the government source that posted it. Updated .